How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $77.62 | Facility | None | $40.74 | $40.74 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $7.41 | $9.12 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $57.54 | $69.18 | $69.18 |
BCBS Kansas Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $4,570.88 | Facility | None | $1,548.82 | $1,905.46 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $58.88 | $144.54 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $8.71 | $15.85 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $125.89 | $125.89 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $147.91 | Facility | None | $77.62 | $100.00 | $147.91 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $446.68 | Professional | None (both parts) | $61.66 | $93.33 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $123.03 | Professional | 26 · Professional part | $8.71 | $11.75 | $123.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $83.18 Typical High $407.38 | Professional | TC · Technical part | $48.98 | $83.18 | $407.38 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,398.83 | Facility | None | $1,513.56 | $1,513.56 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $74.13 Typical High $134.90 | Professional | None (both parts) | $54.95 | $74.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $16.22 | Professional | 26 · Professional part | $8.13 | $9.12 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $44.67 | $64.57 | $117.49 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $32.36 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $15.85 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $60.26 Typical High $63.10 | Professional | FX · Film X-ray | $51.29 | $60.26 | $63.10 |
Where Kansas sits
The same service costs 8.1 times more in Alabama than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 22nd of 51
$100
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.